Active NPI
Beatrice Anne Johnson, MD
- Psychiatry Physician
- St Johnsbury, VT
National Provider Identifier
1295945160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 151724
- Practice address
- 2225 Portland Street
St Johnsbury, VT 05819-2225 - Phone
- (802) 748-3131
- NPI assigned
- May 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 151724 | NY | Primary |
Addresses
Primary practice location
2225 Portland Street
St Johnsbury, VT 05819-2225
Mailing address
95 Jobs Pond Road
West Burke, VT 05871
Phone (802) 723-4844
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104-0012067 | Other | VT | VERMONT MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 151724 | NY | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321488000000",
"number": "1295945160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 JOBS POND ROAD",
"city": "WEST BURKE",
"state": "VT",
"postal_code": "05871",
"telephone_number": "802-723-4844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2225 PORTLAND STREET",
"city": "ST JOHNSBURY",
"state": "VT",
"postal_code": "058192225",
"telephone_number": "802-748-3131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "BEATRICE",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2011-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "151724",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VERMONT MEDICAL LICENSE",
"identifier": "104-0012067",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}Other providers in St Johnsbury, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.